Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902569874 Individual Practitioner Male Practitioner

Andre Peterson

Licensed Practical Nurse • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Andre Peterson is a registered healthcare professional specializing in Licensed Practical Nurse in Suwanee, GA. Practice services are available at 2855 SUWANEE LAWRENCEVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2855 Suwanee Lawrenceville Rd

Suwanee, GA 300243563

Telephone 7703949055

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Suwanee, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 098977

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2021

Registered at 2855 SUWANEE LAWRENCEVILLE RD, SUWANEE, GA 300243563 (Tel: 7703949055)

📍
Updated Business Mailing Address October 18, 2021

Registered at 2058 AMBER TRL, DULUTH, GA 300964935 (Tel: 9175496511)

👤
Provider Name / Credentials Updated October 18, 2021

Recorded as ANDRE PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2021

Licensed Practical Nurse (License #098977 in NY)

🟢
Initial NPI Registration & Enumeration October 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902569874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2021
Last Update: October 18, 2021
Sole Proprietor: Yes

Mailing Address

2058 Amber Trl

Duluth, GA 300964935

Phone: 9175496511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.